Individual
ALEXANDER LERITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN/RD
Contact information
Practice address
600 ROE AVE STE 1G, ELMIRA, NY 14905-1629
(607) 795-2820
Mailing address
1213 W WATER ST APT B, ELMIRA, NY 14905-2025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86197597
NY
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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